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23 Apr 2018, 7:24 am by Debra A. McCurdy
Furthermore, HHS Office of Inspector General (OIG) investigations resulted in 788 criminal actions and 818 civil actions related to Medicare and Medicaid, along with the exclusion of 3,244 individuals and entities from participation in Medicare, Medicaid, and other federal health care programs. [read post]
23 Apr 2018, 7:09 am by Kate Fort
Centers for Medicare & Medicaid Services (CMS) is a division of the Department of Health and Human Services (HHS). [read post]
18 Apr 2018, 11:55 am by Cynthia Marcotte Stamer
Employers should consider inviting their workers to conduct a Paycheck Checkup to review their withholding elections to confirm they have the right amount of tax deducted from their paychecks in response to tax law changes enacted by the Tax Cuts and Jobs Act (Trump Tax) and other recent legislation. [read post]
16 Apr 2018, 1:28 pm by Jeff Wurzburg (US)
  The Secretary of HHS is required to define the EHB, with the limitation that the EHB benchmark plan must be “equal to the scope of benefits provided under a typical employer plan”. [read post]
16 Apr 2018, 11:52 am by Robert Liles
Based on this assessment, HHS-OIG estimates that a threshold for medical review between 12-30 services would have saved Medicare between $95 million and $447 million between 2013-2015. [read post]
16 Apr 2018, 10:35 am
Via email from our friends at Cornerstone regarding next year's individual health insurance market:The Bureauweenies in DC© have published their "Notice of Benefit and Payment Parameters for 2019," which includes another reprieve for Transitional ("Grandmothered") plans for another year, as well as info on:• Qualified Health Plan (QHP) Certification Standards• Exemptions• Risk Adjustment• Advance Premium Tax Credit (APTC) Program Integrity•… [read post]
12 Apr 2018, 7:42 pm by Cynthia Marcotte Stamer
Restaurant employers should audit and tighten the employee wage, timekeeping and other wage and hour practices to minimize their exposure to heightened enforcement of the Fair Labor Standards Act and other federal wage and hour laws by the U.S. [read post]
12 Apr 2018, 8:48 am by Robert Liles
  Finally, it is worth noting that the HHS Office of Inspector General (OIG) identified concerns with the billing of orthotic braces in both its 2016 and 2017 Work Plans.[5] III. [read post]
12 Apr 2018, 3:00 am by Lorraine Rosado
  She is also performed a number of IRO reviews in connection with annual CIA reviews by HHS-OIG. [read post]
11 Apr 2018, 6:43 am by Wachler & Associates, P.C.
The request comes in response to a lack of effective action by HHS to reduce the number of backlogged appeals. [read post]
10 Apr 2018, 8:59 pm by Jean O'Grady
Corporate Integrity Agreements are enforcement tools used by the Office of the Inspector General within the Department of Health and Human Services (HHS). [read post]
10 Apr 2018, 8:55 am by Jeff
  It confirmed my understanding in the area (which coincidentally I was discussing with someone within the last few days), but I wasn't aware that there was such an explicit outlining of the matter by HHS already. [read post]
8 Apr 2018, 7:19 pm by Jeffrey P. Gale, P.A.
Because workers’ compensation has primary responsibility [for covering medical care associated with work-related injuries] versus Medicare’s secondary payor status, failing to adequately account for Medicare’s imperatives may keep the Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), the federal agency that runs the Medicare Program, from covering much needed… [read post]
7 Apr 2018, 8:41 am by Ben Vernia
HHS can also suspend Medicare payments to providers during investigations of credible allegations of fraud. [read post]
6 Apr 2018, 2:55 pm by Neoshia Roemer
Region IX provides comprehensive legal services to almost all components within HHS. [read post]
6 Apr 2018, 5:48 am by Debra A. McCurdy
HHS Secretary Alex Azar has appointed two advisors to help advance Department strategy to address prescription drug pricing and the opioid crisis. [read post]
6 Apr 2018, 4:59 am by Cameron Kennedy
In 2017 HHS declared a public health emergency and announced a 5-Point Strategy To Combat the Opioid Crisis. [read post]
6 Apr 2018, 4:59 am by Cameron Kennedy
In 2017 HHS declared a public health emergency and announced a 5-Point Strategy To Combat the Opioid Crisis. [read post]
4 Apr 2018, 9:42 pm by Howard Wasserman
Judge Chutkan of the District of the District of Columbia last week issued a preliminary injunction barring HHS and the Office of Refugee Resettlement from enforcing policies preventing pregnant unaccompanied undocumented minors in federal detention from obtaining services to terminate pregnancies. [read post]
4 Apr 2018, 7:04 pm by Sabrina I. Pacifici
“The US Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) today released the ONC Guide to Getting and Using your Health Records, a new online resource for individuals, patients, and caregivers. [read post]